AUTISTIC individuals face major barriers in dermatologic care, and a new review urges systemic reform to advance equity and improve outcomes.
As the prevalence of autism spectrum disorder (ASD) continues to rise, dermatologists are increasingly called upon to provide care for a population whose sensory sensitivities, communication challenges, and mobility limitations demand tailored approaches. A new literature review spotlights the urgent need for structural change within dermatology to ensure that patients with ASD receive equitable and effective care.
The review highlights a troubling disparity: despite the higher incidence of certain dermatologic conditions among individuals with ASD, clinical environments and evaluation methods often remain ill-suited to their needs. Sensory triggers such as bright lights, physical touch, and unfamiliar routines can result in distress or non-compliance during dermatologic exams. For those with limited verbal communication or physical mobility, traditional diagnostic procedures may be ineffective or inaccessible.
To address these inequities, the authors advocate for a multi-pronged reform strategy. First, they call for sensory-aware clinical practices that modify the physical space and patient interaction to reduce overstimulation. This includes dimmable lighting, unscented products, and flexibility in exam procedures. Second, the review emphasizes the importance of communication tools that accommodate verbal and nonverbal patients alike, such as visual aids or caregiver-supported dialogue. Finally, individualized care plans should be prioritized, acknowledging both dermatologic needs and neurological context.
Importantly, the authors argue that addressing these challenges must extend beyond individual clinicians. They highlight the roles of researchers and policymakers in embedding inclusive standards into education, clinical guidelines, and institutional policies. Through structural change, dermatology can evolve into a more equitable specialty that actively dismantles the barriers faced by autistic individuals.
As awareness grows, the path forward requires not just accommodation but transformation. Dermatologists who integrate sensory-informed care and advocate for systemic reform will be instrumental in advancing skin health equity for all.
Reference:
Misra R et al. Advancing Dermatologic Equity for Individuals With Autism Through Awareness and Structural Reform. Cureus. 2025;17(5):e83829.
